IInternet yave iri nyanzvi yevanhu vane zvirwere zvisingaperi, kusanganisira avo vane chirwere chinoputira chirwere (IBD) . Vanhu vane IBD vanogona kushamwaridzana uye kugovana zviitiko zvakadai kare. Asi kune nzira here yokuti vanhu vane IBD vatarise zvimwe zvekugadzwa kwechiremba vazhinji vachishandisa Indaneti? Telemedicine iri kuva chinhu chakakosha chechigadziro chevanhu vakabatikana kuwana rubatsiro rwehutano, asi kune nzvimbo here mukurapa IBD?
Zvinhu Zvokuziva Nezve Telemedicine
- Telemedicine inosarudzwa nevarwere vakawanda.
- Haasi vanachiremba vose vanopa telemedicine, asi iri kuwedzera kuwanika.
- Makambani eInishuwarenzi anogona kana kuti asingakwanisi kubhadhara telemedicine.
- Telemedicine haingakodzeri zvose zvido zvekurapa (zvakadai apo kana kuongorora muviri kuchidiwa).
Chii Chinonzi Telemedicine?
Telemedicine,, kuisa pachena, nzira yekuwana kurapa kweutano uchishandisa kutumirana. Izvozvo zvinogona kusanganisira terefoni, mavhidhiyo ekufonera, magwaro, email, kana dzimwe nzira dzokubatanidza, dzakadai sezviremba zvevarwere kana zvekugarisana nevamwe.
Telemedicine chaizvoizvo ine nhoroondo yakareba, nevatano vezvehutano vachishandisa foni kuti vataure pamusoro pavo uye nevarwere kwenguva yakareba isati yatanga Indaneti. Mumakore achangopfuura, zvakadaro, iyo nzira yave yakanyanya kuwanika, sezvo vanachiremba vanotora pfungwa yacho zvakakwana uye makambani ehushutu anotarira kuderedza mari kuburikidza nekushandiswa kweteremedicine.
Vese telemedicine vashandi vachava negavo nzira yekushanda inobva pane zvinhu zvakawanda zvakasiyana.
Chiremba anoona varwere muhofisi angave ane purogiramu ye telemedicine inobvumira kugadzirisa. Vamwe vashandi vanoshanda chete paIndaneti. Vamwe vaterevhiki vanachiremba vanogona kushanda nemakambani einishuwarenzi, asi vamwe vanogona kunge vane chirongwa chekuchengetedza varwere apo murwere anorayira zvakakwana nokuda kwebasa.
Kunyange zvakadaro muterevhizheni anopa kusarudza kushanda, pachava nemitemo yekushandiswa kwemutambo.
Vashandi vanogona kuisa miganhu pamusoro pehuwandu hweteremedicine kushanyira maererano nekusvika-kumunhu, zvinongorayira mamwe makirasi emishonga, kana kunongopa kurapwa kwemamwe mamiriro ezvinhu chaiwo panguva yekushanyira telemedicine.
Ko Telemedicine Inogona Kubatsira Vachirwere veBD?
Chirwere cheCrohn uye ulcerative colitis zvakaoma uye zvinowanzova zvakaoma kubata. Vanowanzovawo zvirwere zvinodhura, pamwe nemari inogona kusanganisira mishonga, kuvhiyiwa, uye hospitalitali. Nguva inodiwa nevarwere uye vashandi kuti vatarise matanho ose anodiwa ekutarisira IBD yakasimba. Telemedicine inogona kushandiswa kuzadza kana nguva uye kure kure matambudziko ari kudzivirira kukodzera kwakakodzera kutarisirwa.
Nzvimbo imwe apo telemedicine ine kukwanisa kuwedzerwa kuwanika kwehutano huri mumaruwa. Vanhu vanogara marefu marefu kubva kune gastroenterologist , regai kuve neBD centre, vangave nekutambira kune IBD nyanzvi pane telemedicine. Vanhu vane IBD vanogara mune dzimwe nzvimbo dziri kure kune dzimwe nguva vanorapwa nechiremba wekune imwe nzvimbo iyo isiri nyanzvi yezvokudya, iyo isiri nguva dzose yakanyanya kunaka. Chirongwa cheteremedicine chinogona kuunza gastroenterologist muboka rekutarisira uye kupa unyanzvi hunodiwa.
Pane Uchapupu Humwe Hwose Kubatsira Telemedicine muBD?
Chimwe chiduku chiduku chakabatanidza varwere vane ulcerative colitis vakatsvaga kuziva kana telemedicine ichivandudza zvirwere zvezvirwere munguva yegore. Zvinopera kuti chirwere chehutano uye hupenyu hwehupenyu hwakagadziriswa kune imwe nzvimbo yevatendi, asi zvinetso zvehutano ne telemedicine system zvakaita kuti vamwe varwere vabve kunze kwekutongwa. Vatsvakurudzi vakagumisa kuti pane zvingaita kuti telemedicine ishandiswe kune varwere vane IBD.
Chimwe chinhu cheteremedicine kukwanisa kubatsira kudzidzisa varwere nezvehosha yavo. IBD yakakomba uye varwere vazhinji vanotarisana nemakadziro ekudzidzira maitiro ekuongorora, panguva yekuchinja kwehutano, kana mushure mokunge zvinetso zvichiitika.
Chimwe chekudzidza zvishoma chakaratidza kuti varwere vakabatanidzwa purogiramu yehutachiona vakawedzera kuratidzira kwavo kurongwa hwehutano , ruzivo rwavo rweBD, uye vakange vashanyira kushanyira kuona mutarisiri wehutano mumunhu. Vakaita, zvisinei, vanoita mamwe mafoni uye vanotumira mamwe maeiri kune vashandi kupfuura varwere vasiri purogiramu yewebhu.
Chiitiko chakafanana, icho chaisanganisira 95 varwere vane unyoro kusvika pakuenzanisa chironda chepachirwere, vakaratidza kuti varwere vachishandisa purogiramu yehutachiona vakanyatsokwanisa kuronga mishonga yavo yemishonga uye, pane dzimwe nguva, vakakwanisa kuderedza kuwanda kwemishonga yavakatora.
IBD uye Mwoyo Murefu Kugutsikana
Vashandi veBIB havazivikanwi nekuteerera kwavo kune kurapa. Kune zvikonzero zvakawanda zveizvi, zvakadai sekuzvidya mwoyo pamusoro pemigumisiro. Asi pane imwe nguva iyo telemedicine inogona kubatsira varwere vanotora mishonga nenzira yavanorayirwa.
Ongororo dzinoverengeka dzakaratidza kuti chirongwa chinosanganisira kusanganiswa kweteremedicine uye web-based-system system inobatsira varwere-yakawedzera kukwanisa kwavo kutevera chirongwa chemishonga uye kunzwisisa zviri nani IBD. Kunzwisisa kubatsira kwemishonga, kugamuchira zvimwe zvivimbiso pamusoro pemigumisiro inogona kuitika, uye kuva nekuwedzerwa kwekuwana kune unyanzvi hwehutano hwezvehutano kunogona kubatsira vashandi veBDD. Zvimwe kuongorora kwakaona telemedicine kuti ive nzira yakachengeteka yekurapa kwevanhu vane IBD.
Pane zvipingamupinyi zveTeremedicine here?
Nzvimbo iyo inoshandiswa mukurapa inononoka kuchinja: muenzaniso wevarwere vanouya muhofisi nokuti kunyange zvinhu zvinowanzokonesa zvinoramba zvichiri kuitwa maitiro akawanda. Kugadza chirongwa che telemedicine kunoda mari, nguva, nekutsungirira. Vamwe vanachiremba vangave vatotakurwa nemitemo yemabasa avo uye kuwedzera telemedicine zvingasave yakakwirira pane urongwa hwekuvandudza.
Varwere, zvakare, vaizofanira kutora purogiramu itsva, uye imwe yematambudziko yakaratidza kuti matambudziko emagetsi anogona kukonzera matambudziko makuru.
Panewo nyaya yekubhadhara-kune zvinonetsa nekukwanisa kubhadhara mari kubva kune telemedicine. Semuenzaniso, Medicare inongobvumira vanachiremba kuti vape mari yepa telemedicine maitirwo akapiwa mamwe mamiriro ezvinhu. Muchiitiko cheMedicaid, kubhadhara kwe telemedicine kunozosiyana nehurumende.
Shoko Rinobva
IBD chirwere chinodikanwa nemaoko akawanda-kubasa pamwe neboka rehutano hwezvehutano. Asi, zvinoratidzika sekuti tele teleicicine inogona kuita basa muurongwa hwehutano hwehutano.
Vanhu vanogara kumaruwa kana avo avo vari kure nemudzidzisi weBD vanogona kunyanya kuwana sangano re telemedicine rinobatsira. Telemedicine haisi iyo mhinduro mumatambudziko ose kana kuvarwere vose-kune chokwadi mamiriro ezvinhu apo kusangana kwevanhu mu-munhu kunodiwa, kunyanya kana pane kukanganisa - kana kukonzera kunomuka.
Zvisinei, zuva rimwe nezuva zvinodiwa nevarwere vane IBD zvinogona kushandiswa kuburikidza ne telemedicine. Varwere vanofunga kupinda muhutano hweteremedicine vanofanira kutaura nechiremba wavo voona kuti zvipi zvirongwa zvinogona kuwanika uye kutarisana nekambani yavo yveshuwarisi kuti vaone kana vachizoita mune imwe nhepfenyuro ye telemedicine.
> Sources:
> Muchinjikwa RK, Cheevers N, Rustgi A, et al. "Randomized, kutongerwa kuedzwa kwemisha yekutengesa pamba kune varwere vane ulcerative colitis (UC HAT)." Inflamm Bowel Dis . 2012; 18: 1018-1025.
> Elkjaer M, Burisch J, Avnstrom S, et al. Kuvandudza pfungwa yeWeb-based kuvarwere vane ulcerative colitis uye 5-aminosalicylic acid. Eur J Gastroenterol Hepatol . 2010; 22: 695-704.
> de Jong MJ, van der Meulen-de Jong AE, Romberg-Camps MJ, et al. Telemedicine yekuchengetedza zvirwere zvinoputika (myIBDcoach): chirongwa che pragmatic, multicentre, chinotaridzika chinotungamirirwa. " Lancet . Yakabudiswa paIndaneti 14 July 2017.
> Pedersen N, Thielsen P, Martinsen L, et al. "EHealth: kugoverwa kwehutano hwemesalazine kuburikidza nehutano hwakagadzirirwa hwe-web-based solution muzvinyoro-to-moderate ulcerative colitis." Inflamm Bowel Dis . 2014; 20: 2276-2285.